Individual provider · Type 1 NPI
Diane Lynn Phillips, ED.D.
Mental Health Counselor · Port Orchard, WA
NPI number
1932305901
Active
Practice location
1353 Yukon Harbor Rd SE
Port Orchard, WA 98366-8576
Fax (360) 871-5499
Mailing address
PO Box 487 Manchester 98353, 1353 Yukon Harbor SE
Port Orchard, WA 98366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LH00006197 (WA) |
Mental Health Counselor: Definition to come...
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About NPI 1932305901
Diane Lynn Phillips, ED.D.'s National Provider Identifier is 1932305901, issued on Jun 26, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port Orchard, WA. The record was last updated on Jul 8, 2007.